Laparoscopic Myomectomy Surgery
A myomectomy is a surgical procedure to remove fibroids (also called leiomyomas) from the uterus. These non-cancerous tumors commonly appear during a woman’s reproductive years but can develop at any age. Unlike a hysterectomy, which removes the uterus entirely, a myomectomy only removes the fibroids while preserving the uterus. The surgeon’s goal is to eliminate fibroids causing symptoms and restore the uterus to its normal structure.
Reasons for Myomectomy
- Desire to have children.
- Doctor’s suspicion that fibroids may interfere with fertility.
- Preference to keep the uterus intact.
Risks of Myomectomy
- Excessive blood loss during surgery.
- Scar tissue formation in the uterus.
- Pregnancy and childbirth complications in the future.
- Rare possibility of hysterectomy if severe complications occur.
- Extremely rare chance of spreading a cancerous tumor if an undiagnosed malignant fibroid is present.
Types of Myomectomy Procedures
- Abdominal Myomectomy:
- The surgeon makes an incision in the abdomen to access the uterus and remove the fibroids.
- A low horizontal incision (bikini line) is preferred when possible.
- A vertical incision may be used for larger uteruses.
- Laparoscopic or Robotic Myomectomy (Minimally Invasive Surgery):
- The surgeon removes fibroids through small incisions in the abdomen using specialized instruments.
- Laparoscopic Myomectomy:
- A small incision is made near or in the navel to insert a laparoscope (a thin tube with a camera).
- Additional small incisions in the abdominal wall allow the insertion of surgical tools.
- Robotic Myomectomy:
- Uses the same incision technique as laparoscopy.
- The surgeon controls robotic instruments remotely from a separate console for greater precision.
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